Individual provider Active NPI

Brenda Maria Lopez, NP

  • Pediatric Nurse Practitioner
  • San Leandro, CA
National Provider Identifier
1619491115
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95010106 Issued in CA
Practice address
16110 E 14TH St
San Leandro, CA 94578-3002
Phone
(510) 471-5907
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95010106 CA Primary

Addresses

Primary practice location

16110 E 14TH St
San Leandro, CA 94578-3002

Mailing address

971 Frederick Rd
San Leandro, CA 94577-1306

Other practice location 1

2950 International Blvd
Oakland, CA 94601-2228
Phone (510) 535-4453

Other practice location 2

1030 International Blvd
Oakland, CA 94606-3730
Phone (510) 238-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101000521 CA Practitioner - Nurse Practitioner 6608111695 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 30, 2024 Accepting new patients
University of California San Francisco CurrentSince Aug 30, 2024 Accepting new patients
County of San Mateo CurrentSince Sep 15, 2024 Accepting new patients
UCSF Pediatrics Associates CurrentSince Aug 30, 2024 Accepting new patients
County of San Mateo CurrentSince Sep 15, 2024 Accepting new patients
University of California San Francisco CurrentSince Aug 30, 2024 Accepting new patients
Regents of the University of California CurrentSince Aug 30, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 30, 2024 Accepting new patients

Locations

1515 Fruitvale Ave
Oakland, CA 94601
Phone (510) 535-6300

1030 International Blvd
Oakland, CA 94606
Phone (510) 238-5400

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: brenda.lopez.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: blopez72510@direct-ucsfmedicalcenter.org
  • Direct secure messaging: blopez25364@smch.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1619491115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 FREDERICK RD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783002",
            "telephone_number": "510-471-5907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 International Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946012228",
            "country_code": "US",
            "telephone_number": "510-535-4453",
            "fax_number": "510-535-4494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 International Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946063730",
            "country_code": "US",
            "telephone_number": "510-238-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BRENDA",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95010106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.